Prior Auth Required
19380 - Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceRevision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in
Procedure / Service Description
Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy - Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy 19371 Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents 19380 Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)
Likely documents
- Confirm benefit details
- Submit clinical notes if requested by the plan
Next actions
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.